The effectiveness of short-term cognitive behavioral therapy in the complex treatment of idiopathic restless legs syndrome with chronic insomnia

2021 ◽  
Vol LIII (2) ◽  
pp. 46-56
Author(s):  
Aleksey I. Melekhin
Keyword(s):  
Restless Legs Syndrome ◽  
Behavioral Therapy ◽  
Well Being ◽  
Sleep Hygiene ◽  
Cognitive Behavioral ◽  
Chronic Insomnia ◽  
Short Term ◽  
Restless Legs ◽  
Mental Well Being

Aim. To investigate the effectiveness of the short-term protocol of cognitive behavioral therapy RELEGS M. Hornyak et al. in complex treatment to improve the quality of sleep, reduce the symptoms of depression, anxiety, suicidal thoughts in patients with primary SBN comorbid with chronic insomnia. Methods. Study participants: 68 patients with primary restless legs syndrome with comorbid chronic insomnia. Women 56 (average age 52.110.3 years), men 12 (average age 50.39.4 years). The severity of restless legs syndrome is moderate to severe. The average age of the onset of the disease is 1848 years, the duration of the course of the disease is on average 1415 years. Taking various medications for the management of SBN for an average of 45 years. Study design: a randomized controlled trial, after screening 26 patients were assigned to the main group, underwent combined treatment, took a prolonged form of Pramipexole (Mirapex-PD, 1.5 mg.) and underwent the RELEGS CBT protocol (Restless Legs Skills program, Hornyak, Grossmann, 2018), which integrates the cognitive behavioral insomnia protocol (Morin, 2007) and Mindfulness-Based Stress therapy (Mindfulness-Based Stress Reduction, Bablas, 2016). The control group consisted of 24 people who received only general recommendations on sleep hygiene once. Both groups were treated with dopaminergic agonists under the supervision of a neurologist. Research methods: IRLS, ISI, DBAS-16, sleep diary analysis, actigraphy, BDI, SBQ-R, BAI. Results. The use of the CBT protocol in combination therapy with prolonged-acting dopaminergic agonists in patients with primary restless leg syndrome (mild and moderate severity) with comorbid chronic insomnia, in contrast to simple one-time general recommendations on sleep hygiene, is more effective for reducing dysfunctional behaviors, the spectrum of reinsurance and avoidance behavior both in relation to sleep and symptoms of restless legs. In patients with primary restless legs syndrome who underwent CBT, greater mental well-being was observed, which was expressed in a decrease in the severity of symptoms of insomnia, anxiety, and suicidal behavior after completion and persisted after 3 months of follow-up. Conclusion. As part of a personalized comprehensive approach, along with a drug-based approach and general recommendations for sleep hygiene, the use of short-term CBT (4 sessions, 60 minutes each) can significantly improve mental well-being, improve the quality of sleep of patients with restless legs syndrome with comorbid chronic insomnia.

scholarly journals Effects of rotigotine on clinical symptoms, quality of life and sleep hygiene adequacy in hemodialysis-associated restless legs syndrome

2018 ◽  
Vol 38 (1) ◽  
pp. 79-86
Author(s):  
Vicent Esteve ◽  
Jose Carneiro ◽  
Gabriel Salazar ◽  
Mónica Pou ◽  
Irati Tapia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Restless Legs Syndrome ◽  
Clinical Symptoms ◽  
Sleep Hygiene ◽  
Restless Legs

scholarly journals Internet-Based Cognitive Behavioral Therapy for Informal Caregivers: Randomized Controlled Pilot Trial

10.2196/21466 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e21466
Author(s):  
Ieva Biliunaite ◽  
Evaldas Kazlauskas ◽  
Robbert Sanderman ◽  
Inga Truskauskaite-Kuneviciene ◽  
Austeja Dumarkaite ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Caregiver Burden ◽  
Behavioral Therapy ◽  
Informal Caregivers ◽  
Well Being ◽  
Cognitive Behavioral ◽  
World Health ◽  
Quality Of Life Scale

Background Caregiving for a family member can result in reduced well-being for the caregiver. Internet-delivered cognitive behavioral therapy (ICBT) may be one way to support this population. This is especially the case for caregivers in countries with limited resources, but high demand for psychological services. Objective In this study we evaluated the effects of a therapist-guided 8-week-long ICBT intervention for informal caregivers. Methods In total, 63 participants were recruited online and randomized either to the intervention or to the wait-list control group. The main study outcome was the Caregiver Burden Inventory (CBI). Secondary outcomes included measures of caregiver depression, anxiety, stress, and quality of life. Results Moderate between-group effect sizes were observed for the CBI measure, in favor of the intervention group, with a Cohen d=–0.70 for the intention-to-treat analysis. Analyses of the subscales of the CBI showed significant reductions on the subscales of Development and Physical Health. Moderate reductions were found for depression and anxiety scores as indicated by the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scores. Large between-group effects were observed for reduction in stress and increase in quality of life as indicated by the Perceived Stress Scale-14 (PSS-14), The Brunnsviken Brief Quality of Life Scale (BBQ), and The World Health Organization-Five Well-Being Index (WHO-5). In addition, participants experienced little to no difficulty in using the program and were mostly satisfied with the intervention’s platform and the choice of content. Conclusions This is the first internet intervention study for informal caregivers in Lithuania. The results suggest that therapist-guided ICBT can be effective in reducing caregiver burden, anxiety, depression, stress, and improving quality of life. Trial Registration ClinicalTrials.gov NCT04052724; https://clinicaltrials.gov/ct2/show/NCT04052724

scholarly journals Chronic Insomnia in the Elderly: Current Approaches to Diagnosis and Treatment

2018 ◽  
Vol 7 (2) ◽  
pp. 135-161
Author(s):  
A.I. Melehin
Keyword(s):  
Sleep Disorders ◽  
Geriatric Patients ◽  
Behavioral Therapy ◽  
The Elderly ◽  
Cognitive Behavioral ◽  
Chronic Insomnia ◽  
Structural Components ◽  
Quality Of Sleep ◽  
First Line

The article shows that in the treatment of chronic insomnia in geriatric patients, it is recommended to use a step-by-step treatment and start with steps aimed at the elimination of somatic, environmental and psychological barriers which affect the quality of sleep. An algorithm for the evaluation of sleep disorders at a later age firstly desctibed. The specifics of the clinical and psychological evaluation of the quality of sleep in geriatric patients presented. Evidence on the effectiveness of pharmacological and non-pharmacological approaches for the treatment of chronic insomnia at a later age presented on the basis of a number of foreign studies. It is recommended to use multicomponent cognitive-behavioral psychotherapy as a first-line treatment of chronic insomnia at a later age Types, forms and structural components of cognitive-behavioral therapy of chronic insomnia in the elderly are detailed. Practical difficulties and reccomentations for the use of medical approach in the treatment of sleep disorders in the elderly are also presented.

scholarly journals Prevalence of restless legs syndrome in somatoform pain disorder and its effect on quality of life

2015 ◽  
Vol 6 (02) ◽  
pp. 160-164 ◽  
Author(s):  
Seshadri Sekhar Chatterjee ◽  
Sayantanava Mitra ◽  
Prathama Guha ◽  
Kaustav Chakraborty
Keyword(s):  
Quality Of Life ◽  
Restless Legs Syndrome ◽  
Short Form ◽  
Tertiary Care ◽  
Well Being ◽  
Pain Disorder ◽  
Restless Legs ◽  
Somatoform Pain Disorder ◽  
Biological Explanation

ABSTRACT Background: Persistent somatoform pain disorder (SPD) is a condition in which the patient suffers from persistent, severe and distressing pain; and from associated physical and psychological distress. While presence of restless leg syndrome (RLS) in SPD is understudied, their association might have an impact on general well-being and quality of life (QoL) in SPD. Aims and Objectives: Present study aimed at evaluating the prevalence of RLS in SPD patients attending outpatient department services at a tertiary care institute in eastern India. Materials and Methods: Two hundred and forty consecutive patients with SPD were screened initially and after applying appropriate inclusion and exclusion criteria, 192 subjects (male = 85, female = 107) were included in the study. Severity of RLS was assessed using a questionnaire of the International Restless Legs Syndrome Study Group and QoL was measured on QoL Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF). Results: Revealed a 28% prevalence of RLS is in patients with SPD, which is much higher than its estimated population prevalence. A larger proportion of those with RLS had continuous course of SPD, longer duration of SPD, and higher daytime sleepiness. They also had poorer scores on Q-LES-Q-SF, indicating a poorer QoL overall. Discussion and Conclusion: This is the first report, to the best of our knowledge, on this aspect from India. While this association between RLS and SPD may have biological explanation based on abnormal monoaminergic neurotransmission system, the findings call for more vigilant approach to SPD patients in order to improve their QoL and add to their well-being.

scholarly journals Application of cognitive-behavioral psychotherapy in the treatment of restless legs syndrome

2018 ◽  
Vol 26 (2) ◽  
pp. 53-78
Author(s):  
A.I. Melehin
Keyword(s):  
Combination Therapy ◽  
Restless Legs Syndrome ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Third Wave ◽  
Restless Legs ◽  
Rational Emotive Behavioral Therapy ◽  
Rational Emotive ◽  
First Time

The paper demonstrates that the basis of treatment of the restless legs syndrome (RLS) is combination therapy, which includes medication and non-pharmacological approaches. The limitations of the medication approach are presented. For the first time, the following directive non-drug approaches used in the treatment of RLS with evidence-based effectiveness are systematized: body-mind approach, behavioral and cognitive-behavioral second- and third-wave psychotherapy, and rational-emotive-behavioral therapy.

scholarly journals Short-term CBT of mixed anxiety-depressive disorder

2018 ◽  
Vol 3 (4) ◽  
pp. e030494
Author(s):  
Sofiia Ivanivna Lahutina
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Depressive Disorder ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Short Term

Epidemiological studies indicate that anxiety and depressive disorders are the most common mental health problems, without timely and effective help, they can have a pronounced negative impact on the quality of life of a person. Cognitive-behavioral therapy is one of the most researched and effective psychotherapeutic methods for treating depression, anxiety disorders, PTSD, eating disorders, and many others. The purpose of this article is to show the effectiveness of short-term cognitive-behavioral psychotherapy of mixed anxiety and depressive disorder. The clinical case presented in this article illustrates a person whose mental disorder caused somatic symptoms, reduced life quality. The introduction of cognitive-behavioral therapy in national protocols of treatment of mental disorders will improve the quality of life, facilitate faster re-socialization and rehabilitation of patients.

High prevalence of restless legs syndrome in cancer patients undergoing chemotherapy: Relationship with anxiety, depression and quality of life perception

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 9032-9032 ◽  
Author(s):  
A. Saini ◽  
L. Ostacoli ◽  
E. Sguazzotti ◽  
S. Capogna ◽  
C. Castronovo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Restless Legs Syndrome ◽  
Dopamine Agonists ◽  
Well Being ◽  
Dopamine Antagonist ◽  
Restless Legs ◽  
Anxiety Depression ◽  
The Impact

9032 Background: The Restless Legs Syndrome (RLS) is one of the commonest neurological sensorimotor disorders consisting in periodic limbs movements during the sleeping time that lead to severe insomnia and quality of life deterioration. The prevalence of RLS in normal population is 7 and 11% in males and females respectively. RLS correlated with female sex and iron deficiency. Chronic pain, sensory polineuropathy and the use of dopamine antagonist drugs can induce or exacerbate RLS. Dopamine agonists are extremely active drugs in controlling RLS. The prevalence of RLS in cancer patients is unknown. Methods: The presence of RLS, by means of the essential diagnostic criteria provided by the International RLS Study Group (Allen RP, Sleep Med; 2003), was tested in 257 consecutive cancer patients (119 males and 138 females) with different malignancies belonging to two different Medical Oncology centres. All patients were receiving chemotherapy. Functional Assessment of Cancer Therapy General (FACT-G), Hospital Anxiety and Depression Scale (HADS) and Mini Mental Adjustment to Cancer Scale (Mini-MAC) questionnaires were administered concomitantly to assess the impact of RLS on quality of life, anxiety or depression and styles of coping, respectively. Results: RLS was present in 47 patients (18.3%), 14 males (11.8%) and 33 females (23.9%); (p=0.01). RLS directly correlated with pain (p<0.0001), nausea (p<0.001), worse physical well-being (p=0.007), emotional well- being (p=0.001) and functional well-being (p=0.02). RLS affected patients showed higher levels of anxiety (p<0.001) and depression (p=0.001). The styles of coping consisting in anxious preoccupation and hopeless were also more represented in the RLS affected patients (p=0.04 and p=0.02 respectively) than their counterparts. Conclusions: RLS is frequent and underdiagnosed in cancer patients. It may cause anxiety, depression and quality of life deterioration. Early RLS detection and prompt introduction of dopamine agonists may improve patient quality of life. No significant financial relationships to disclose.

Sleep Hygiene

2021 ◽  
pp. 113-126
Author(s):  
Smita Patel
Keyword(s):  
Behavioral Therapy ◽  
Well Being ◽  
Sleep Hygiene ◽  
Primary Therapy ◽  
Sleep Habits ◽  
Huge Impact ◽  
Lack Of Sleep ◽  
Improve Sleep Quality ◽  
Inadequate Sleep

An important aspect of maintaining a healthy mental state and good quality of life is maintaining proper sleep hygiene. A lack of sleep, a disrupted sleeping pattern, or a disordered sleep routine can make a huge impact on well-being and daytime alertness. Inadequate sleep hygiene behaviors may precipitate an episode of insomnia and may perpetuate insomnia. When these behaviors are identified and addressed, it can positively impact sleep. Good sleep habits are behaviors and conditions that can be consciously changed to improve an individual’s quality and quantity of sleep. While sleep hygiene alone is not considered a primary therapy for chronic insomnia, it can be an important adjunctive measure to improve sleep quality along with cognitive behavioral therapy and therapeutics. Sleep is essential, and an improved quality of sleep achieved on a regular basis is optimal for all.

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